Cross-cultural adaptation for Colombia and content validity of the RAC scale for assessing the risk of infection in hospitalized adults

Authors

DOI:

https://doi.org/10.15649/cuidarte.2406

Keywords:

Risk Assessment, Infection Control, Cross-Cultural Comparison, Validation Study, Patient Safety

Abstract

Introduction: Health care–associated infections (HAI) are a serious public health problem, which can be prevented by identifying risk factors with the use of scales. Objective: To adapt cross-culturally and perform content and face validation of the Rodríguez-Almeida-Cañon (RAC) scale for assessing the risk of infection in hospitalized adults. Materials and Methods: Methodological study of cross-cultural adaptation. Data collection was carried out from June to November 2020. The sample consisted of 11 specialists. The RAC scale was evaluated as a whole, determining its scope, the items were evaluated individually, verifying their clarity, relevance and pertinence. To evaluate each item, a four-level Likert-type scale was used. The content validity was evaluated through the content validity index (CVI). Results: Through the evaluation of the committee of specialists it was possible to determine that the RAC scale is suitable for use in the Colombian cultural context. Adjustments were made to improve the interpretation of some items. The CVI of the items was between 0.90 to 1.0 and the average CVI of the scale was 0.98. Discussion: This scale makes it possible to measure the HAI risk at a low cost, in order to be able to plan and execute interventions by the multidisciplinary team in charge of the health and care of the patient. Conclusions: The RAC scale in its Spanish version is an appropriate instrument for assessing the risk of HAI in hospitalized adults in Colombia.

How to cite this article: Rodríguez-Acelas Alba Luz, López de Ávila Mónica, Yampuezán Getial Daniela, De Abreu Almeida Miriam, Cañon-Montañez Wilson. Adaptación transcultural para Colombia y validez de contenido de la escala RAC de evaluación del riesgo de infección en el adulto hospitalizado. Revista Cuidarte. 2022;13(1): e2406. http://dx.doi.org/10.15649/cuidarte.2406     

Author Biographies

Alba Luz Rodríguez-Acelas, Universidad de Antioquia

Doctora en Enfermería. Profesora Asociada, Facultad de Enfermería, Universidad de Antioquia, Medellín, Colombia.

Mónica López de Ávila, Universidad de Antioquia

Joven Investigador. Facultad de Enfermería, Universidad de Antioquia, Medellín, Colombia.

Daniela Yampuezán Getial, Universidad de Antioquia

Estudiante de Pregrado. Facultad de Enfermería, Universidad de Antioquia, Medellín, Colombia

Miriam de Abreu Almeida, Universidade Federal do Rio Grande do Sul, Porto Alegre

Doutora. Professora Titular, Escola de Enfermagem, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil.

Wilson Cañon-Montañez, Universidad de Antioquia

RN, MSc, PhD, Facultad de Enfermería, Universidad de Antioquia.

References

World Health Organization. Report on the Burden of Endemic Health Care-Associated Infection Worldwide.; 2011. https://apps.who.int/iris/bitstream/handle/10665/80135/9789241501507_eng.pdf?sequence=1

Padoveze MC, Fortaleza CMCB. Healthcare-associated infections: challenges to public health in Brazil. Rev Saúde Pública. 2014;48(6):995-1001. https://doi.org/10.1590/S0034-8910.2014048004825

Oliveira Fontes D, Santos Amaral M. Enfermagem na prevenção de infecções hospitalares: Uma revisão da literatura. Rev Científica FacMais. 2020;XV(1). https://revistacientifica.facmais.com.br/wp-content/uploads/2020/08/02-Enfermagem-na-preven%C3%A7%C3%A3o-de-infec%C3%A7%C3%B5es-hospitalares-Uma-revis%C3%A3o-da-literatura.pdf

World Health Organization. Guidelines on Core Components of Infection Prevention and Control Programmes at the National and Acute Health Care Facility Level.; 2016. http://apps.who.int/iris/bitstream/handle/10665/251730/9789241549929-eng.pdf?sequence=1

Barahona N, Rodríguez M, Moya Y. Importancia de la vigilancia epidemiológica en el control de las infecciones asociadas a la atención en salud. Biociencias. 2019;14(1):65-81. https://doi.org/10.18041/2390-0512/biociencias.1.5440

Instituto Nacional de Salud. Infecciones Asociadas a Dispositivos En UCI.; 2020. https://www.ins.gov.co/buscador-eventos/Lineamientos/Pro_Infecciones%20asociadas%20a%20dispositivos.pdf

Ospina Mejía MC, Roa López MA. Análisis de situación en salud infecciones asociadas a la atención en salud-IAAS dimensión vida saludable libre de enfermedades transmisibles año 2018. https://www.medellin.gov.co/irj/go/km/docs/pccdesign/medellin/Temas/Salud_0/Publicaciones/Shared%20Content/Periodo%20Epidemiol%C3%B3gico/INFORME%20IAAS%20A%C3%91O%202018.pdf

Ministerio de la Protección Social. Guía técnica “Buenas prácticas para la seguridad del paciente en la atención en salud". https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/CA/guia-buenas-practicas-seguridad-paciente2010.pdf

Rodríguez-Acelas AL, Cañon-Montañez W. Contribuciones de las escalas en salud como herramientas que influencian decisiones en el cuidado de los pacientes. Rev Cuid. 2018;9(1):1949-1960. https://doi.org/10.15649/cuidarte.v9i1.498

Cucolo DF, Galán Perroca M. Instrument to assess the nursing care product: development and content validation. Rev Lat-Am Enferm. 2015;23(4):642-705. https://doi.org/10.1590/0104-1169.0448.2599

Lira MT, Caballero E. Adaptación transcultural de instrumentos de evaluación en salud: historia y reflexiones del por qué, cómo y cuándo. Rev Médica Clínica Las Condes. 2020;31(1):85-94. https://doi.org/10.1016/j.rmclc.2019.08.003

Cunha CM, Neto OP, Stackfleth R. Principais métodos de avaliação psicométrica da validade de instrumentos de medida. Rev Atenção À Saúde. 2016;14(47):75-83. https://doi.org/10.13037/ras.vol14n47.3391

Kagan E, Salgado CD, Marculescu CE, Cantey JR. Peripherally inserted central catheter–associated bloodstream infection: Risk factors and the role of antibiotic-impregnated catheters for prevention. Am J Infect Control. 2019;47(2):191-195. https://doi.org/10.1016/j.ajic.2018.07.006

Willemsen I, Kluytmans J. The infection risk scan (IRIS): standardization and transparency in infection control and antimicrobial use. Antimicrob Resist Infect Control. 2018;7(1):38. https://doi.org/10.1186/s13756-018-0319-z

Costa Alexandre NM, Guirardello E. Adaptación cultural de instrumentos utilizados en salud ocupacional. Rev Panam Salud Pública. 2002;11(2):109-111. https://doi.org/10.1590/S1020-49892002000200007

Rodríguez-Acelas AL, Almeida MA, Schmarczek Figueiredo M, Monteiro Mantovani V, Mattiello R, Cañon-Montañez W. Validity and reliability of the RAC adult infection risk scale: A new instrument to measure healthcare-associated infection risk. Res Nurs Health. 2021;44(4):672-680. https://doi.org/10.1002/nur.22139

Rodríguez-Acelas AL, Almeida MA, Engelman B, Cañon-Montañez W. Risk factors for health care–associated infection in hospitalized adults: Systematic review and meta-analysis. Am J Infect Control. 2017;45(12):e149-e156. https://doi.org/10.1016/j.ajic.2017.08.016

Rodríguez-Acelas AL, Cañon-Montañez W, Almeida MA. Scale for measurement of healthcare-associated infection risk in adult patients: development and content validation. Rev Cuid. 2019;10(2):e771. https://doi.org/10.15649/cuidarte.v10i2.771

Guzmán-Herrador B, Molina CD, Allam MF, Navajas RFC. Independent risk factors associated with hospital-acquired pneumonia in an adult ICU: 4-year prospective cohort study in a university reference hospital. J Public Health. 2016;38(2):378-383. https://doi.org/10.1093/pubmed/fdv042

Polit DF, Beck CT. The content validity index: Are you sure you know what’s being reported? critique and recommendations. Res Nurs Health. 2006;29(5):489-497. https://doi.org/10.1002/nur.20147

Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186-3191. https://doi.org/10.1097/00007632-200012150-00014

Escobar MA. Adaptación transcultural de instrumentos de medida relacionados con la salud. Enferm Clínica. 2004;14(2):102-106. https://dialnet.unirioja.es/servlet/articulo?codigo=870387

Orpinelli Coluci MZ, Costa Alexandre NM, Milani D. Construção de instrumentos de medida na área da saúde. Ciênc Saúde Coletiva. 2015;20(3):925-936. https://doi.org/10.1590/1413-81232015203.04332013

López M, Cañon-Montañez W, Rodríguez-Acelas A, Yampuezán D, de Abreu M. Datos

para Validación de Contenido de Escala RAC en Español. 2021. Mendeley Data: V1.

https://doi.org/10.17632/49664v8k63.1

Wynd C, Schmidt B, Schaefer M. Two Quantitative Approaches for Estimating Content Validity. 2003;25(5):508-518. https://doi.org/10.1177/0193945903252998

Ministerio de Salud de Colombia. Resolución 8430 de 1993. Disponible en: https://www.hospitalsanpedro.org/images/Comite_Investigacion/Resolucion_8430_de_1993.pdf

Emanuel E. ¿Qué hace que la investigación clínica sea ética? Siete requisitos éticos. In: Pautas Éticas de Investigación en Sujetos Humanos: Nuevas Perspectivas; 2003:83-96. https://libros.uchile.cl/files/presses/1/monographs/258/submission/proof/files/assets/basic-html/page84.html

Oliver D, Britton M, Seed P, Martin FC, Hopper AH. Development and evaluation of evidence based risk assessment tool (STRATIFY) to predict which elderly inpatients will fall: case-control and cohort studies. BMJ. 1997;315(7115):1049-1053. https://doi.org/10.1136/bmj.315.7115.1049

Luna-Rodríguez M, Aranda-Gallardo M, Canca-Sánchez JC, Vazquez-Blanco MJ, Moya-Suárez AB, Morales-Asencio JM. Adaptación transcultural del instrumento «STRATIFY» para la valoración del riesgo de caídas. Enferm Clínica. 2017;27(2):101-105. https://doi.org/10.1016/j.enfcli.2016.07.011

Costa-Dias MJM, Lopes P. Escalas de avaliação de risco de quedas. Rev Enferm Referência. 2014;IV(2):153-161. https://doi.org/10.12707/RIII12145

Rojas Rojas MA, Ortega Altamirano DV, Jerez-Roig J, Gama ZAS. Adaptación transcultural del Questionário AGRASS para evaluar la gestión de riesgos asistenciales. J Healthc Qual Res. 2021;36(4):191-199. https://doi.org/10.1016/j.jhqr.2021.03.004

Ramada-Rodilla JM, Serra-Pujadas C, Delclós-Clanchet GL. Cross-cultural adaptation and health questionnaires validation: revision and methodological recommendations. Salud Publica Mex. 55(1):57-66. https://doi.org/10.1590 / s0036-36342013000100009

World Health Organization. Global Priorities for Patient Safety Research. Better knowledge for safer care. https://apps.who.int/iris/bitstream/handle/10665/44205/9789241598620_eng.pdf?sequence=1%26isAllowed=y

Published

2021-12-13

How to Cite

1.
Rodríguez-Acelas AL, López de Ávila M, Yampuezán Getial D, de Abreu Almeida M, Cañon-Montañez W. Cross-cultural adaptation for Colombia and content validity of the RAC scale for assessing the risk of infection in hospitalized adults. Revista Cuidarte [Internet]. 2021 Dec. 13 [cited 2024 Nov. 22];13(1). Available from: https://revistas.udes.edu.co/cuidarte/article/view/2406

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